Outcomes of Gracilis Tendon Autograft Reconstruction for Chronic Anterior Talo-Fibular Ligament Tears | ||||
| The Egyptian Orthopaedic Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 02 April 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/eoj.2025.356887.1004 | ||||
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| Authors | ||||
Sami Elsadek  1; Sameh Holyl2; Mohamed Saleh3; Mohamed Elattar3
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| 1Orthopedic Deparetment, Zagazig University, Egypt | ||||
| 2Orthopedic Departement, Zagazig Univesity, Egypt | ||||
| 3Orthopedic Department, Zagazig University, Egypt | ||||
| Abstract | ||||
| Abstract: Objective: To evaluate the outcomes of gracilis tendon autograft reconstruction for chronic anterior talofibular ligament (ATFL) tears. Methods: Thirty patients with chronic ATFL tears underwent gracilis tendon autograft reconstruction. Functional outcomes were assessed using the AOFAS Ankle-Hindfoot Scale, Karlsson–Peterson Score, and VAS pain scores. Ankle stability was evaluated through anterior drawer and talar tilt tests. Results: During the period from January 2017 to March 2022A total of 32 patients was treated by gracilis tendon autograft reconstruction for chronic ATFL tears of which 2 were lost in the follow up leaving us with 30 cases (21 males and 9 females) included in this study. The age ranges from 19 to 48 years (Mean 30.5, STD 5.4). Eighteen right ankles were reconstructed. Postoperative AOFAS scores improved significantly from 58.2 to 95.8 (p<0.001)، Karlsson–Peterson scores from 53.4 to 90.3 (p<0.001)، and pain scores decreased from 5.7 to 1.0 (p<0.001). Stability tests demonstrated a reduction in test positivity from 80% preoperatively to 10% postoperatively (p<0.001). Conclusion: Gracilis tendon autograft is an effective surgical option for ATFL reconstruction, providing substantial improvements in functional outcomes and pain relief. Larger cohort studies with extended follow-up periods are recommended for further validation. | ||||
| Keywords | ||||
| Keywords: Gracilis tendon; autograft; anterior talofibular ligament; reconstruction; ankle instability. | ||||
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